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HomeMy WebLinkAbout2766 INVERNESS DR; ; CB023045; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-08-2002 Plumbing Permit Permit No: CB023045 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2766 INVERNESS DR CBAD PLUM 2081022000 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/08/2002 MOP 10/08/2002 10/08/2002 REALE RESIDENCE COPPER REPIPE 8278 :10/08/02 0002 01 CGP Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $57.00 Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Owner: REALE FRED R JR&IRENE F TRS 2766 INVERNESS DR CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 1 0 0 0 FINAL APPROVAL Date: /-p -2S-0 Z- Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 $57.00 NOTICE: Please E hat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fee xactio s." ou have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f fwhi r vi 1 i n N Tl i ii hi r tow i h h I of i i in h s r i h rwi · 02 57, 00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.Q~ 3csL~~ EST.VAL._~~~~~~~~~ Plan Ck. Deposit ---------- Validated By __________ _ Date ______________ ~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address f3, J .filJ~ANT O Col')trc1.c;itor ~g(!pt Jor.,.Contracto~ D ~owner Name ~·-ffifft~~~~~ Name t1>,_, c·ottfl\APTQJt:i:C9~Nv N~1111i (Sec. 7031.5 Business and Professions Code: Address City o· Ag_ent for Owner City State/Zip Telephone # Fax # State/Zip Telephone # 9d:008"1 ~ ~ ¢3'17 Telephone# Name ""2.. CJ State License # /V 5 7 D City State/Zif>__LJ / <:;) Tel!;.ehone # City Business License # TTt:7 O Ou Address City State/Zip Telephone -8 .y{QB!(~JlS' ®MPE!',ISATIOrt ,; . ,, },:!:ykers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. \171 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is $sued. My worker's compensation i~ce carrier and policy number are: jJ Via, /f J 3 Insurance Company t1 (!__.E rL@..e . Policy No. u.Je..1>13m_::-O{ Expiration Date _o I_ o (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / ( 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvervents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ot-,iroving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · -. ,., ... 0 I am exempt under Section ------Business and Professions Code for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contractad with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone numb~/contracto~licensenumbe~:------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPL{,TI; Tl:!!$ SECl]ON FOR NO~ES/~ll.AtBl.!ILQIN_O,[>ERM!.IS Ot(I.V.:._,....._ ........ """"'--""'- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CO.,NSTRl.iCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME--------------- 9, APPLJCANT Cl;ijJIFICATl.9N I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued b the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not com need withr, 180 days ll'jJm the date of such permit or ii the building or work authorized by such ~ rmit is suspended or abandoned at any time after the work is ed for a p riod f 180 ays (Section 106.4.4 Uniform Building Code). / ~ APPLICANT'S SIGNA TU -, · DA TE 6 (.) I t) 2- YELLOW: Applicant PINK: Finance Inspection List Permit#: CB023045 Type: PLUM REALE RESIDENCE COPPER REPIPE lnsp~c:t~r" Act Comments ·"··--~--Date Inspection Item 10/25/2002 22 Sewer/Water Service RI GROUND CONNECTN FOR BUS INSPECTN 10/25/2002 22 Sewer/Water Service JE AP 10/25/2002 29 Final Plumbing JE AP 10/23/2002 19 Final Structural RI 10/23/2002 19 Final Structural RF co 10/23/2002 29 Final Plumbing RI 10/23/2002 29 Final Plumbing RF co 10/17/2002 24 RoughfTopout RI 10/17/2002 24 RoughfTopout JE AP NO INSPECTION CARD ON SITE Friday, October 25, 2002 Page 1 of 1